Hahnemann Ki Aawaz Posted on 01 – 12 – 2017
With Best Wishes By K CHANDRAN
I think, terms ‘chronic’ and ‘acute’ do not denote any special character of a disease, but it denotes physician’s subjective ‘approach’ towards a case he is dealing with. A homeopathic physician can approach and deal with any case with a chronic or acute approach.
When a physician tries to resolve only the most troublesome and immediate particular complaints of a case, disregarding its constitutional aspects, it could be called an acute approach.
When he tries to resolve the same case with full regard to its constitutional as well as particular aspects, it is a chronic approach. Way of case taking, collection of symptoms, hierarchy of symptoms, weightage of symptoms, way of selecting drugs, dosage, mode of administration- everything changes depending up on whether physician approaches the case as ‘chronic’ or ‘acute’.
If you decide to you target only the most distressing particular complaints that represent some abnormal conditions, you can work out a case by acute approach. in this approach, you have to collect all the most prominent abnormal basic symptoms you want to relieve, along with their accessories such as location, sensations, causations, presentation, modalities, concomitants etc. Add each basic symptom with its characteristic accessories, to make a complete homeopathic symptom, and find a similimum for it. if you get more than one complete symptom, you may get different similimum for each. Prescribe them.
If you decide to work out the case for a total cure by chronic approach, over and above the above mentioned basic symptoms and their accessory symptoms, collect all abnormal symptoms related with the whole person, such as physical generals, mentals, miasms, family history, chronology of complaints, vaccinations, previous diseases, miasms, allergies, food habits, addictions, thermals, dreams, facial expressions, gestures, emotional background, occupation, working environment, family relations, personal relationships, living environment- everything have to be collected if you are going to work out a case by chronic approach. Repertorize by any of the conventional repertorization methods and find appropriate similimum.
When working with chronic approach, i prefer to arrange symptoms into different symptom groups such as physical generals, mentals, and different categories of particulars. Then I would find similimum for each group separately. If all groups cover same similimum, I would prescribe it. If different symptom groups indicate different similimum, I go for multiple drug prescriptions to ensure a total cure of the patient.
In acute approach, ‘previous history’ is more or less ignored. Diseases are dealt with a similimum selected on causation- location- presentation- sensations- modalities- concomitants.
In chronic approach, ‘previous history’ of disease evolution is very important. if an acute complaint has a long previous history, chronic approach will be more suitable. To deal with chronic approach, we will have to consider physical generals, mentals and history over and above causation- location-presentation- sensations- modalities- concomitants while making prescriptions. History includes genetics, previous infections, family history, vaccinations, emotional history, occupational history, environmental history etc etc.
Miasms or ‘persistent off-target actions of antibodies generated against infectious agents and alien proteins’ are the major factor to be considered in chronic approach. Life-style diseases, metabolic diseases, auto-immune diseases, prion diseases, proteinopathies or diseases caused by deformed proteins, vaccination diseases, immune-related diseases, ontological diseases – all these diseases belonging to this class of miasmatic diseases warrants a ‘chronic approach’.
Dr Shashi Mohan Sharma
Director & Principal
Hahnemann College of Homeopathy
Regal Court, 42 – 44 High Street
Slough, Berkshire SL1 1EL – UK
Mob: 0044 7799 168089